GAIT ANALYSIS is the systematic study of human walking. Postural assessment both standing and in locomotion is also assessed. It is a tool used in the medical management of diseases and pathologies (injuries) that occur during locomotion and movement.
Mr Livingstone specialises in the function of the foot and lower limb during locomotion and as such uses various forms of gait analysis in his diagnosis of pathology and treatment of those problems. Digital imaging, through high speed digital video camera that is then analysis through biomechanics software allows a detailed slow motion view of the angulations your back, hip, knee, ankle and foot go through during your gait cycle. Pressure plate analysis allow him to assess the contact function of your foot on the ground and allow assessment of the functional changes that occur when wearing shoes or orthoses.
The simplest form of gait analysis is to simply observe a patient walking and this is always done on your initial assessment. All investigations are fundamentally done to reach a more accurate diagnosis and treatment plan and after 25 years of experience and training Mr Livingstone can often make these without having to resort to expensive tests.
X RAY Foot X Rays are a fundamental assessment tool when deciding on surgery, but are also useful for both biomechanical assessment and in giving a diagnosis. Modern digital images use far less radiation than in the bad old days and are routinely used in Mr Livingstone’s practice.
MRI MRI has the advantage of showing both inflammation and anatomy. It is a objective investigation in the same way as an X Ray and Mr Livingstone can arrange for these tests to be performed quickly and at a fixed price for self paying patients.
CT and SPECT CT These test are less commonly used but CT shows bone anatomy whilst a SPECT CT shows both anatomy and inflammation to a level not seen on MRI. SPECT CT is a relatively new form of imaging and as such is relatively expensive but can show pathology that previously has not been detected.
ULTRASOUND has the advantage of being a dynamic image. Mr Livingstone commonly used ultrasound when considering giving injections into soft tissue or joints for pain relief and treatment. So it has the advantage of being both diagnostic and also used for treatment.